HomeMy WebLinkAbout09-18-78
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RCC-S9-RI
COMMONWEALTH OF PENNSYLVl\NIA
Department of Revenue
ENTRY INTO SAFE DEPOSIT BOX
TO REMOVE A WILL OR CEMETERY DEED
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Sept. 18. 1978
(Date of Entry)
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1. Name of decedent:
Lloyd Salisbury
2. Address of decedent:
R.D#4, Carlisle ,Pa. 17013
3. Date of death:
September 17, 1978
4. Name and address of person who requested the opening of the box:
Clyde Salisbury, R.D.#2, Box 254, Carlisle, Pa. 17013
5. Name and address of the financial institution where the safe deposit box is
Dauphin Deposit Bank & Trust Co.
located:
2 W. High St., Carlisle, Pa. 17013
6. Number of box:
593
7. Title under which box is registered:
Lloyd Salisbury
8. Was there a will in the box? (Yes or No)
YES
8. If yes, state date of will, name and address of personal representative, if
Date of Will - 8-15-72
named in the will, and name and address of attorney, if any:
Clyde Salisbury - Executor - R.D.#2, Box 254, Carlisle, Penna.
No other contents in safe deposit box
And now this 18th day of September , 19 78 , I hereby
cprtify under penalty of perjury that the above record is correct and complete
to the best of my knowl edge and belief.
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Signature
E. Clair Adams
Asst. Vice-President
Print NAme and Title